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Search › Arizona › Emotionally Disturbed Childrens' Residential Treatment Facility

Leighann Johnson, GROUP HOME OWNER

NPI 1629726583 · on the registry since 2022 · sole proprietor

Practice

Address
1958 E Renegade Trl
San Tan Valley, AZ 85143
Phone
(928) 250-9436
Organisation at this address
A Heart Of Gold Home Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Emotionally Disturbed Childrens' Residential Treatment Facility
322D00000X
Also registered as
Respite Care
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona